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Washington rates for HCPCS 99479

Subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant (present body weight of 1,500-2,500 grams)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $199.53 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $354.81
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $177.83 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $173.78 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $93.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $234.42 / $239.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $251.19 / $331.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $229.09 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $288.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $112.20 / $199.53